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The ‘F’ word in Medical Course

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They say "when everything is going fine, nothing goes wrong". Similarly, when we face ‘failure’ in life, everything seems to be going wrong. The same principle applies to our days of medical studies too (as it would to many other situations).

However, it is a reality that many students who ‘fail’ in medical course and eventually graduate do ‘well’ in their careers than many others who graduate without any failures during the course. This seems to be an anomaly at the face of it; isn’t our education and evaluation system meant to discriminate such qualities in students?

But we often neglect that failure itself is a catalyst for change. The life-changing change.

What I am trying to tell is comparable to what happens to a patient with cardiac failure when she is administered a beta-blocker. Initially there is worsening… the patient becomes more breathless and despair sets in. But some magical changes happen ‘within’. The cells express more receptors on their surface enhancing the ’senses’ thus resulting in an ‘awakening’. The awakened cells work better than earlier thus increasing cardiac function and resulting in a clinical improvement.

Now you translate that into what would happen to a ‘failed’ student who uses it as a catalyst for change.
This is also true for most other situations in life which we equate to ‘failure’.
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Comments

  1. Shamini's Avatar
    Failure….. One could say it is the stepping stone of success without of which one could never really relish and appreciate success….

    Being a former medical student I have to agree when saying not all who have had a fantastic record make successful doctors and all that have failed are an embarrassment to the medical fraternity…

    Medicine is not just about books, its about the human touch… one might not need to be an Einstein to give a kind word, a gleam of hope and attention to heal a heart… and often enough this is the forefront to healing the body .. heal the heart and u shall heal not only the person but also the disease..

    Dont get me wrong ….im not saying u can be a doctor without knowledge…. but im saying u cannot be a successful doctor with just knowledge alone…

    In the race to succeed and get A’s one is so concern learning the disease and all the facts ..they forget the patient, and when they come out ,the real world is very different from text books thus one finds themselves lost.. there is no fine print in a text book that will teach u to handle real life and ironically unless you can think out of the box and be street smart no patient comes in a neatly packed diagnostic disease…. you find umpteen curve balls thrown your way……..

    I remember my lecturer often saying DO NOT treat the lab results, x-rays and scans treat your patient…. holistic approach …thus patient doctor communication is the epitome of medicine…..
  2. Shashikiran's Avatar
    Absolutely. Nice response…

    I love the “no patient comes in a neatly packed diagnostic disease…” line. Am going to use it in teaching students. I used to tell “Diseases don’t read textbooks, so partial and atypical presentations are more common than typical textbook presentations”.
  3. Shamini's Avatar
    I was taught by the best sir
  4. Anne Marie Cunningham's Avatar
    Hello

    What a lovely conversation.I love Shamini’s description of the complexity and messiness of medicine. It is so true. The question is how can we really prepare students to be doctors who work in the real world, rather that a world where everything is neatly packaged? And how can we assess whether they are good enough at dealing with this complexity and messiness to graduate?

    You’ve also got me thinking about metaphors for medicine. I feel a blog post coming on!

    AM
    http://www.wishfulthinkinginmedicale....blogspot.com/
  5. Shashikiran's Avatar
    Nice blog you have got there. Sometimes the practice of medicine can become so busy and involving that we lose focus of what is not ‘required’…

    Your blog post on “Where do first year medical students look things up?” has got me thinking too.
  6. medstudent's Avatar
    I have a comment about Shamini's description of herself as a "former medical student". Really? I think you always remain a medical student
  7. Shashikiran's Avatar
    Oh, yes. I should agree that we always remain students. However, Shamini's usage of the phrase means that she recently passed the final examinations... which is fine.
  8. sidharth275's Avatar
    Quote Originally Posted by Shamini
    Failure….. One could say it is the stepping stone of success without of which one could never really relish and appreciate success….

    Being a former medical student I have to agree when saying not all who have had a fantastic record make successful doctors and all that have failed are an embarrassment to the medical fraternity…

    Medicine is not just about books, its about the human touch… one might not need to be an Einstein to give a kind word, a gleam of hope and attention to heal a heart… and often enough this is the forefront to healing the body .. heal the heart and u shall heal not only the person but also the disease..

    Dont get me wrong ….im not saying u can be a doctor without knowledge…. but im saying u cannot be a successful doctor with just knowledge alone…

    In the race to succeed and get A’s one is so concern learning the disease and all the facts ..they forget the patient, and when they come out ,the real world is very different from text books thus one finds themselves lost.. there is no fine print in a text book that will teach u to handle real life and ironically unless you can think out of the box and be street smart no patient comes in a neatly packed diagnostic disease…. you find umpteen curve balls thrown your way……..

    I remember my lecturer often saying DO NOT treat the lab results, x-rays and scans treat your patient…. holistic approach …thus patient doctor communication is the epitome of medicine…..
  9. sidharth275's Avatar
    that is really insightful to tell that disease in patients is not wholesome as in bookish description
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